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DEIDRA SANFORD
NPI 1386106649
Nurse Practitioner - Family in Chicago, IL

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
9119 S EXCHANGE AVE, CHICAGO, IL 60617(773) 299-4616 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2021, Apr 26, 2019, Apr 4, 2019 (3 updates tracked since 2019).

About Deidra Sanford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA SANFORD (NPI 1386106649) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.018992) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386106649
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIDRA SANFORD
Location Address9119 S EXCHANGE AVEChicago, IL 60617-4225
Mailing Address9119 S Exchange AveChicago, IL 60617-4225
Phone(773) 299-4616
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1386106649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.018992
9119 S EXCHANGE AVE, Chicago, IL 60617
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12600 S Michigan Ave Ste 100Chicago, IL 60616-2857 · Phone (312) 996-2655
Location 21309 S Halsted StChicago, IL 60607-5003 · Phone (312) 996-2655

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deidra Sanford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921332305
PECOS Enrollment IDI20190619002451
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Deidra Sanford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicago Family Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
9119 S. EXCHANGE AVE.
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
NPI 1245266337 (773) 768-5000
Oak Street Health Physicians Group, PC
1.7 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
The Board Of Trustees Of The University Of Illinois
5.2 mi
Federally Qualified Health Center (FQHC)
6835 S NORMAL BLVD
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1427600345 (312) 355-5801
Vpa PC
19 mi
Family Medicine
1000 BURR RIDGE PKWY STE 201
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1629692785 (312) 818-4650
Doctors On Site, Ltd
39 mi
General Practice
1 EXECUTIVE CT, SUITE 1
South Barrington, IL 60010
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1720410483 (847) 882-2030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL B TOREN MD
Non-Pharmacy Dispensing Site
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
PHYLLIS EGGLESTON
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 364-2206
JUANATA MUA
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
SAMIRA RAMIREZ LSW
Social Worker
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
KIYANA M. HURT FNP
Nurse Practitioner
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
MS. KARLA MUNGUIA LCPC
Counselor (Professional)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
MICHELLE KAMIN-LINDSAY LCSW
Social Worker (Clinical)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
DR. CHRISTINA JAIME D.D.S.
Dentist
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Sanford's NPI number?

The NPI number for Deidra Sanford is 1386106649. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Deidra Sanford located?

Deidra Sanford practices at 9119 S Exchange Ave, Chicago, IL 60617. The listed phone number is (773) 299-4616.

What is Deidra Sanford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deidra Sanford enrolled in Medicare?

Yes. Deidra Sanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Deidra Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidra Sanford reassigns Medicare benefits to 5 organizations: Chicago Family Health Center, Inc. (Chicago, IL), Oak Street Health Physicians Group, PC (Chicago, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Vpa PC (Burr Ridge, IL) and Doctors On Site, Ltd (South Barrington, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deidra Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deidra Sanford accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Deidra Sanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deidra Sanford was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.